NPIMap

Organization Active NPI

The Lily Valley Group, Inc.

Doing business as Lily Health and Wellness Center

  • Family Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1679287452
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THE LILY VALLEY GROUP, INC.
Doing business as
Lily Health and Wellness Center
Practice address
1600 Belle Dr
Annapolis, MD 21401-1147
Phone
(240) 401-5260
NPI assigned
Jan 6, 2023
Last updated
Jan 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Similade Adetunji, DNP, PMHNPNPI 1073155248
Title
Owne
Phone
(240) 401-5260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1600 Belle Dr
Annapolis, MD 21401-1147

Mailing address

1600 Belle Dr
Annapolis, MD 21401-1147
Phone (240) 401-5260

Other names 1

  • Lily Health and Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Lily Valley Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1679287452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BELLE DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011147",
            "telephone_number": "240-401-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BELLE DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011147",
            "telephone_number": "240-401-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LILY VALLEY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "ADETUNJI",
        "authorized_official_first_name": "SIMILADE",
        "authorized_official_title_or_position": "OWNE",
        "authorized_official_telephone_number": "240-401-5260",
        "authorized_official_credential": "DNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lily Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.